Renal Assesment (115 MCQs)

Acute Pyelonephritis is more common in males 

In a patient with progressive hypertension 150/100, Abdominal ultrasound revealed bilateral contracted kidneys. Gross picture of both kidneys is consistent with all of the following EXCEPT:

Immune complex deposit in post streptococcal GN is :

All the following lab changes are seen in patients with chronic renal failure EXCEPT:

Miliary TB of kidney is caused by ascending infection

Abortive tubules in renal mass is usually associated with :

The best prognosis among renal cell carcinoma is seen in:

Linear Antibody deposits, with parietal cell proliferation, are seen in :

Renal arterioles in malignant nephrosclerosis are showing:

Causes of Chronic Pyelonephritis include all the following causes EXCEPT:

Morphological changes of Post-strep GN includes all the following changes EXCEPT:

Nephrotic syndrome is not showing :

Chronic bladder calculi may predispose to squamous cell carcinoma

Charecteristic microscopic finding of nephroblastoma is:

Idiopathic hypercalcurea is involved in pathogenesis of:

A 47 year old man has had hemoptysis and decrease urine out put over the past days. On physical examination his bood pressure was 180/100mmHg. Urine analysis revealed 1+ Proteinuria, 4+ hematuria. A renal biopsy was performed and revealed normocellularity of the glomerular tuft with marked proliferation of parietal epithelial cells and vascular malignant hypertensive changes. The immunofluorescence findings in this patient indude:

All the following pathological changes are evident in Nephritic diseases EXCEPT:

The pathognomonic feature of Crescentric GN is :

All the following predisposing factors are found to be involved in stone formation EXCEPT:

The commonest cause of renal calcium oxalate stones is:

In chronic pyelonephritis , both kidneys are enlarged

Vesico-ureteric reflux is one of the causes of chronic pyelonephritis

Crescentric GN is induced by which of the following mechanisms ?

A 59-year-old man notes blood in his urine for the past week. On physical examination there are no abnormal findings. A urinalysis confirms the presence of blood, but no proteinuria or glucosuria. A urine culture is negative. A cystoscopy is performed, and a 3 cm exophytic mass is seen in the dome of the bladder. A biopsy of this mass is performed and microscopic examination reveals fibrovascular cores covered by a thick layer of transitional cells. Which of the following risk factors is most likely to have led to development of this lesion?

40 years male with progressive hypertension, He had worsening headache for the last 2 days. Cerebral angiography scan revealed Cerebral berry aneurysms at bifurcations of circle of Willis. Which of the following diseases should be ruled out ?

The commonest cause of Acute pyelonephritis is TB bacilli

Chronic renal failure occur as a complication in all of the following (except):

A 10-year-old girl had a sore throat for about 10 days, Initial laboratory tests revealed an elevated BUN and creatinine. A microscopic urinalysis showed hematuria with dysmorphic RBC's. The light microscopic appearance of the renal biopsy showed hypercellularity, with PNL present, and there were sub epithelial electron densa "humps" seen by electron microscopy. What additional laboratory finding is most likely to be present in this setting:

Marked proliferation of mesangial cells is seen in :

Marked pelvicalyceal dilatation with parenchymal atrophy and fibrosis can complicate which of the following congenital renal lesions:

Female patient was complaining of flank pain. Radiological findings confirmed well defined renal mass measuring 7x5 cm. Excision revealed brown cut section with central stellate scar.

Glomerulonephritis characterized by proliferation of parietal epithelial cells in most of glomeruli is usually associated with which of the following
features:

In a patient with Fever, Pyurea , and dysurea, Urine analysis revealed WBCs, protein casts, and few RBCs. Renal function revealed elevated urea. Radiological picture showed enlargement of right kidney with clubbing of calyces>

The following disease usually ends by Acute renal failure:

Papillary carcinoma of the kidney is showing all of the following EXCEPT:

The commonest cause of Pyelonephritis is

Psammoma bodies are seen in :

The following microscopic changes are seen in Chronic GN:

The usual fate of Post-strep GN in children ?

Renal mass with central stellate scar is consistent with :

The commonest cause of chronic renal failure which is induced by papillary necrosis :

Hyaline arteriolosclerosis is the pathognomonic finding of:

In patients with renal colic, post operative stone examination revealed yellowish stones, with smooth surface and trnsulucent core.

Which of the following lesions is pathognomonic for Membranoproliferative disease ?

Intramembranous deposition of C3 is commonly seen in :

Acute tubular necrosis may lead to Chronic tubular necrosis in untreated cases

Focal segmental glomerulosclerosis is characterized by:

Renal amyloidosis leads to Nephritic syndrome

A common cause of Nephrotic disease in children :

Podocyte effacement is the major player in :

Cases of pyonephrosis started with :

Thyroidization is a charecteristic feature of :

Struvite stone is formed of

Cortical adenoma measuring > 6 cm is considered

Most reliable finding for diagnosis of Hydronephrosis is which of the following ?

Focal segmental glomerulosclerosis is a type of:

Tubular thyroidiszation is seen in ACUTE pyelonephritis

Marked pelvicalyceal dilatation with parenchymal atrophy and fibrosis can complicate which of the following congenital renal lesions:

Complications of urethral obsruction includes which of the following changes?

In patients with diabetic nephropathy, which of the following complications may occur ?

Chronic fibrocaseous TB of kidney is showing Cavitations

The commonest cause of primary nephrotic syndrome in adults is characterized by which of the following electron microscopic features:

In a female patient , with butterfly facial erythema, elevated ANA, Renal functions were elevated. Renal biopsy is most likely to show which of the following changes?

Stag-horn stone is formed of:

Clear cytoplasmic halo, is a charecteristic feature of:

Bladder divertecula is one of the complication of urethral stones

Renal cell carcinoma is charecterized by:

A 53-year-old man has passed darker urine for the past week. On physical examination there are no abnormal findings. A urinalysis shows pH 5.5, specific gravity 1.013, 2+ blood, no protein, and no glucose. A urine cytology is performed and there are atypical cells seen. A cystoscopy is performed, but no mucosal lesions are noted. He has a 60 pack year history of smoking cigarettes. Which of the following is the most likely diagnosis?

Which of the following tumors has tendency of bilaterality

Glomeruli in Post streptococcal GN are:

Prescence of Abdomnial swelling in 6 years child, with evident renal mass :

Obstruction in cases of Acute pyelonephritis, leads to PYONEPHROSIS

Sudden Complete urethral obstruction leads to :

Linear Antibody deposits, with parietal cell proliferation, are seen in :

Stag horn stone is formed of

In malignant Nephrosclerosis , the size of kidney is:

Creascentric GN is rapidly progressing into :

Urinary culture revealed cocci , which of the following salts are most likely to deposit forming stones?

Acute renal failure could be inducd by :

Drug induced nephritis is charecterized by aggregates of neutrophils

Coplications of oxalate stones include :

IgA nephropathy is commonly following :

Intramembranous compelement deposit, is best seen in :

Child, 6 yers old, is complaining of abdominal swelling and weight loss. X-ray revealed Right renal mass, which of the following findings is most likely to be found?

Which of the following Tumors is Triphasic ?

The initial stage of acute tubular necrosis shows Polyurea

The Major diagnostic features of Nephritic disease are:

A 3-year-old child does not want to eat much at meals The pediatrician notes an enlarged abdomen and can palpate a mass on the right. An abdominal CT scan revealed 10 cm sold mass involving the right kidney. The resected mass has the microscopic appearance of small blue cells with primitive structures. Which of the following neoplasm is most likely to account for these findings?

Proteinurea in a case of Nephrotic syndrome should be:

Hyrdonephrosis leads to renal cortical atrophy

Prescence of polycythenia in patients with renal cell carcinoma is explained by:

Clear cell carcinoma of the kidney is associated with:

In a patient of End stage renal disease, Laboratory findings to confirm Chronic renal failure :

The most pathognomonic feature of Diabetic nephropathy :

Cystine stones are

Pyelonephritis is a suppurative inflammation

The main player in pathogenesis of Diabetic nephropathy is :

Features of oxalate stones include:

Wire-loop glomerulosclerosis is seen in:

Renal biopsy revealed diffuse thickening of the glomerular basement membrane, together with mesangial matrix expansion due to deposition of homogenous pink material. This picture is consistent with :

Child with generalized edema,proteinurea >5 gm/day. No immune complex. Renal biopsy is most likely to reveal:

A patien is complaining of progressive edema, proteinurea 5gm/day. and hyperlipidemia. EM of renal biopsy revealed thick spiky basement membrane with subepithelial deposits

Urinary calculi , with high PH are associated with :

A 53-year-old woman has had chronic arthritis pain for the past 3 years. She has taken 2 gm of phenacetin and acetaminophen a day for her pain
over that time. She now has increasing fatigue. There are no abnormal findings on physical examination. Laboratory studies show her serum urea nitrogen is 52 mg/dL and creatinine 5.4 mg/dL. Which of the following pathologic findings is most likely to occur in her kidneys?

Cortex and medulla can easily to be demarkated in chronic pyelonephritis

Focal segmental glomerulosclerosis is characterized by:

Acute diffuse proliferative glomerulonephritis is caused by :

Sub epithelial Granular deposits are evident by EM in which of the following diseases ?

A 56-year-old man complains of dull flank pain for the past month. On physical examination he has tenderness to percussion at the right costovertebral angle. Laboratory studies show microscopic hematuria but no proteinuria or glucosuria. A urine cytology shows no atypical cells. A CBC shows WBC count 7800/microliter, Hgb 21.1 g/dL, Hct 63.5%, MCV 94 fL, and platelet count 195,000/microliter. His serum urea nitrogen is 15 mg/dL and creatinine 1 mg/dL. Which of the following radiographic findings is most likely to be present in this man?

Hydronephrosis is a result of :

Acute Pyelonephritis is characterised clinically by Dysurea, pyuria and Loin pain

Linear deposits by IF are evident in which of the following Lesions?

A 10 year-old boy has periorbital edema and swollen lower limbs. His BP is 140/90 mm Hg. A urinalysis reveals 5gm protein /24 hours and 2+blood, A renal biopsy is done and Light Microscopic examination reveals large lobulated hypercellular glomerular tufts thick splitted capillary walls. Which of the following is most likely diagnosis of this case?

Nodular glomerulosclerosis is induced by:

Which of the following microscopic types of RCC has more favorable prognosis?